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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06161571
Registration number
NCT06161571
Ethics application status
Date submitted
22/11/2023
Date registered
8/12/2023
Titles & IDs
Public title
A Study Evaluating Efruxifermin in Subjects With Non-invasively Diagnosed Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Nonalcoholic Fatty Liver Disease (NAFLD)/Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
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Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of Efruxifermin in Subjects With Non-invasively Diagnosed Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Nonalcoholic Fatty Liver Disease (NAFLD)/Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
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Secondary ID [1]
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AK-US-001-0107
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
NASH/MASH
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0
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NAFLD/MASLD
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0
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Condition category
Condition code
Oral and Gastrointestinal
0
0
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
0
0
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0
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Liver
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Metabolic and Endocrine
0
0
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0
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Metabolic disorders
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Diet and Nutrition
0
0
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Efruxifermin
Treatment: Drugs - Placebo
Experimental: EFX 50 mg -
Placebo comparator: Placebo -
Experimental: EFX 50 mg (Open-Label Rollover) -
Treatment: Drugs: Efruxifermin
Administered by subcutaneous (SC) injection
Treatment: Drugs: Placebo
Administered by SC injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Extent of exposure
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Assessment method [1]
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A participant's extent of exposure to study drug (weeks) will be generated from the data recorded in the study drug administration eCRF.
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Timepoint [1]
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52 Weeks
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Primary outcome [2]
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Number of participants with adverse events
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Assessment method [2]
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An adverse event (AE) is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not related to the study drug.
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Timepoint [2]
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52 Weeks
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Primary outcome [3]
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Number of participants with adverse events by severity
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Assessment method [3]
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All AEs, both serious and non-serious, will be assessed for severity using the Common Terminology Criteria for Adverse Events v5.0.
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Timepoint [3]
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52 Weeks
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Primary outcome [4]
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Number of participants with clinically significant changes in clinical assessments
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Assessment method [4]
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Clinical assessments include clinical laboratory tests, electrocardiogram, ultrasounds, vital sign assessments, and concomitant medication usage.
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Timepoint [4]
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52 Weeks
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Secondary outcome [1]
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Change from baseline in non-invasive marker fibroscan® aspartate aminotransferase (FAST) score
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Assessment method [1]
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FAST score varied on a scale from 0 to 1, with the participants being classified as having low (\<0.35), intermediate (0.35-0.67), or high (\>0.67) probability of having significant inflammatory activity and fibrosis.
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Timepoint [1]
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52 Weeks
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Secondary outcome [2]
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Change from baseline in non-invasive marker enhanced liver fibrosis (ELF) score
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Assessment method [2]
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ELF scale of 6.7 to 9.8 where higher scores indicative of increased fibrosis.
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Timepoint [2]
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52 Weeks
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Secondary outcome [3]
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Change from baseline in non-invasive marker pro-peptide of type 3 procollagen (Pro-C3)
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Assessment method [3]
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Timepoint [3]
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52 Weeks
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Secondary outcome [4]
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Change from baseline in non-invasive marker liver stiffness assessed by transient elastography (kPa, CAP)
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Assessment method [4]
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Timepoint [4]
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52 Weeks
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Secondary outcome [5]
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Change from baseline in lipoproteins
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Assessment method [5]
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Total cholesterol (mg/dL), Triglycerides (TG) (mg/dL), high density lipoprotein cholesterol (HDL-C) (mg/dL), Non-HDL-C (mg/dL), and low-density lipoprotein cholesterol (LDL-C) (mg/dL).
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Timepoint [5]
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52 Weeks
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Secondary outcome [6]
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Change from baseline in markers of glycemic control: HbA1c (%)
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Assessment method [6]
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Timepoint [6]
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52 Weeks
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Secondary outcome [7]
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Change from baseline in markers of glycemic control: adiponectin (mg/L)
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Assessment method [7]
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Timepoint [7]
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52 Weeks
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Secondary outcome [8]
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Change from baseline in markers of liver injury
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Assessment method [8]
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Alanine aminotransferase (ALT) (U/L), aspartate aminotransferase (AST) (U/L), and gamma glutamyl transferase (GGT) (U/L).
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Timepoint [8]
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52 Weeks
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Secondary outcome [9]
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Change from baseline in markers of liver injury: uric acid (mg/dL)
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Assessment method [9]
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Timepoint [9]
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52 Weeks
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Secondary outcome [10]
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Change from baseline in body weight (kg)
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Assessment method [10]
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Timepoint [10]
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52 Weeks
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Eligibility
Key inclusion criteria
Main Study Only:
* Males and non-pregnant, non-lactating females between 18 - 80 (between 19-80 in the Republic of Korea) years of age inclusive, on the day of signing informed consent
* Previous history or presence of 2 out of 4 components of metabolic syndrome (obesity, dyslipidemia, elevated blood pressure, elevated fasting glucose) or type 2 diabetes
* Suspected or confirmed diagnosis of NASH/MASH or NAFLD/MASLD or non-invasively diagnosed NASH/MASH or NAFLD/MASLD
Open-Label Rollover
* Prior participation in the placebo arm of a previous Akero Phase 2 study
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Minimum age
18
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Maximum age
80
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Other causes of liver disease based on medical history and/or liver histology and/or central laboratory results, including but not limited to: alcoholic liver disease, autoimmune disorders (e.g., primary biliary cholangitis [PBC], primary sclerosing cholangitis [PSC], autoimmune hepatitis), drug induced hepatotoxicity, Wilson disease, clinically significant iron overload, or alpha-1-antitrypsin deficiency
* Type 1 or unstable Type 2 diabetes
A reduced list of inclusion and exclusion criteria apply to participants in the open-label rollover extension.
Other inclusion and exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
10/11/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2026
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Actual
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Sample size
Target
700
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC,WA
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Recruitment hospital [1]
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Akero Clinical Study Site - Broadmeadow
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Recruitment hospital [2]
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Akero Clinical Study Site - Westmead
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Recruitment hospital [3]
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Akero Clinical Study Site - Adelaide
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Recruitment hospital [4]
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Akero Clinical Study Site - Clayton
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Recruitment hospital [5]
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Akero Clinical Study Site - Epping
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Recruitment hospital [6]
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Akero Clinical Study Site - Heidelberg
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Recruitment hospital [7]
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Akero Clinical Study Site - Melbourne
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Recruitment hospital [8]
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Akero Clinical Study Site - Murdoch
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Recruitment hospital [9]
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Akero Clinical Study Site - Perth
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Recruitment postcode(s) [1]
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2292 - Broadmeadow
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment postcode(s) [3]
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5000 - Adelaide
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Recruitment postcode(s) [4]
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3168 - Clayton
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Recruitment postcode(s) [5]
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3076 - Epping
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Recruitment postcode(s) [6]
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3084 - Heidelberg
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Recruitment postcode(s) [7]
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3004 - Melbourne
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Recruitment postcode(s) [8]
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6150 - Murdoch
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Recruitment postcode(s) [9]
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6000 - Perth
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Recruitment outside Australia
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United States of America
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Alabama
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Tel Aviv
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Korea, Republic of
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Daegu Gwang'yeogsi
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Rize
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United Kingdom
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England
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Akero Therapeutics, Inc
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this study is to assess the safety and tolerability of EFX compared to placebo in subjects with non-invasively diagnosed NASH/MASH and NAFLD/MASLD.
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Trial website
https://clinicaltrials.gov/study/NCT06161571
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Contact person for public queries
Name
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Akero Study Director
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Address
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Phone
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650-487-6488
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Fax
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Email
0
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06161571